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MISSION SURGICAL GROUP
NPI 1104276393
Clinic/Center - Ambulatory Surgical in Riverside, CA

Active since June 17, 2016CLIA 05D2170296 · Waiver
3660 PARK SIERRA DR, RIVERSIDE, CA 92505(951) 278-8870(951) 278-8913 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mission Surgical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION SURGICAL GROUP (NPI 1104276393) is a healthcare organization registered as an ambulatory surgical in Riverside, California and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through August 6, 2027 and lists Manuel Porto, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1104276393
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMISSION SURGICAL GROUP
Location Address3660 PARK SIERRA DRRiverside, CA 92505-3081
Mailing Address200 S Manchester Ave, Suite #315Orange, CA 92868-3217 · (714) 456-2986 · Fax (714) 456-8351
Phone(951) 278-8870
Fax(951) 278-8913
Organization SubpartYesParent: Regents Of The University Of California
Authorized OfficialManuel PortoChief Executive Officer · (714) 456-8721
Enumeration DateJune 17, 2016
✔ NPI 1104276393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3660 PARK SIERRA DR, Riverside, CA 92505
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2170296

Mission Surgical Clinic · Riverside, CA
Active · expires Aug 6, 2027
CLIA Number05D2170296
Laboratory TypePhysician Office
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorMichael S. Chin
Laboratory Phone(951) 278-8870
Laboratory LocationMission Surgical Clinic7300 Magnolia Avenue, Riverside, CA 92504
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NAMG HOME DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3660 PARK SIERRA DR, STE 108
RIVERSIDE, CA 92505
Riverside County (951) 687-3900
DR. RIZWAN BADAR M.D.
Internal Medicine (Nephrology)
3660 PARK SIERRA DR, SUITE 208
RIVERSIDE, CA 92505
Riverside County (951) 687-2800
CHAO-HUANG SUN M.D., MPH
Internal Medicine (Nephrology)
3660 PARK SIERRA DR, SUITE 208
RIVERSIDE, CA 92505
Riverside County (951) 687-2800
NAMG HOME DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3660 PARK SIERRA DR, STE 103
RIVERSIDE, CA 92505
Riverside County (951) 373-4004
TOM YIH-CHAO LIN MD
Surgery
3660 PARK SIERRA DR, STE 105
RIVERSIDE, CA 92505
Riverside County (951) 278-8870
DR. XIU-JIE WANG M.D.
Surgery (Vascular Surgery)
3660 PARK SIERRA DR, SUITE 105
RIVERSIDE, CA 92505
Riverside County (951) 278-8870
IROQUOIS DIALYSIS LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3660 PARK SIERRA DR, STE 108
RIVERSIDE, CA 92505
Riverside County (951) 687-3900
NEIGHBORHOOD HEALTH SYSTEMS
Non-Pharmacy Dispensing Site
3660 PARK SIERRA DR, SUITE 110
RIVERSIDE, CA 92505
Riverside County (951) 637-9935

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mission Surgical Group's NPI number?

The NPI number for Mission Surgical Group is 1104276393. It was assigned to this organization in the NPPES registry on June 17, 2016.

Where is Mission Surgical Group located?

Mission Surgical Group is located at 3660 Park Sierra Dr, Riverside, CA 92505. The listed phone number is (951) 278-8870.

What is Mission Surgical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Mission Surgical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2170296) is associated with this NPI, valid through August 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mission Surgical Group was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.